42 USC 300gg-137 - Patient-provider dispute resolution

U.S Code last checked for updates: Nov 22, 2024

§ 300gg–137.

Patient-provider dispute resolution

(a)

In general

(b)

Selection of entities

Under the patient-provider dispute resolution process, the Secretary shall, with respect to a determination sought by an individual under subsection (a), with respect to charges to be paid by such individual to a health care provider or health care facility described in such paragraph for an item or service furnished to such individual by such provider or facility, provide for—

(1)

a method to select to make such determination an entity certified under subsection (d) that—

(A)

is not a party to such determination or an employee or agent of such party;

(B)

does not have a material familial, financial, or professional relationship with such a party; and

(C)

does not otherwise have a conflict of interest with such a party (as determined by the Secretary); and

(2)

the provision of a notification of such selection to the individual and the provider or facility (as applicable) party to such determination.

An entity selected pursuant to the previous sentence to make a determination described in such sentence shall be referred to in this subsection as the “selected dispute resolution entity” with respect to such determination.

(c)

Administrative fee

(d)

Certification

(July 1, 1944, ch. 373, title XXVII, § 2799B–7, as added Pub. L. 116–260, div. BB, title I, § 112, Dec. 27, 2020, 134 Stat. 2867.)

cite as: 42 USC 300gg-137